title: Implementing an exercise-training programme to prevent lower-limb injuries: considerations for the development of a randomised controlled trial intervention delivery plan.
abstract: OBJECTIVE
  To identify important considerations for the delivery of an exercise training intervention in a randomised controlled trial to maximise subsequent participation in that randomised controlled trial and intervention uptake.
  
  
  METHODS
  A cross-sectional survey, with a theoretical basis derived from the Health Belief Model (HBM) and the Reach, Efficacy/Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework.
  
  
  METHODS
  374 male senior Australian Football players, aged 17-38 years.
  
  
  METHODS
  Beliefs about lower-limb injury causation/prevention, and the relative value of exercise training for performance and injury prevention. The data are interpreted within HBM constructs and implications for subsequent intervention implementation considered within the RE-AIM framework. Ordinal logistic regression compared belief scores across player characteristics.
  
  
  RESULTS
  74.4% of players agreed that doing specific exercises during training would reduce their risk of lower-limb injury and would be willing to undertake them. However, 64.1% agreed that training should focus more on improving game performance than injury prevention. Younger players (both in terms of age and playing experience) generally had more positive views. Players were most supportive of kicking (98.9%) and ball-handling (97.0%) skills for performance and warm-up runs and cool-downs (both 91.5%) for injury prevention. Fewer than three-quarters of all players believed that balance (69.2%), landing (71.3%) or cutting/stepping (72.8) training had injury-prevention benefits.
  
  
  CONCLUSIONS
  Delivery of future exercise training programmes for injury prevention aimed at these players should be implemented as part of routine football activities and integrated with those as standard practice, as a means of associating them with training benefits for this sport.
authors.affiliation: Australian Centre for Research into Injury in Sport and its Prevention, Monash Injury Research Institute, Monash University, Melbourne, Victoria 3800, Australia. caroline.finch@monash.edu
authors.forename: Caroline F
authors.initials: CF
authors.lastname: Finch
authors.forename: Peta
authors.initials: P
authors.lastname: White
authors.forename: Dara
authors.initials: D
authors.lastname: Twomey
authors.forename: Shahid
authors.initials: S
authors.lastname: Ullah
mesh_terms: D000293:Adolescent; D000328:Adult; D001265:Athletic Injuries / Q000517:prevention & control; D054874:Athletic Performance / Q000502:physiology; D001294:Attitude to Health; D001315:Australia; D003430:Cross-Sectional Studies; D005081:Exercise Therapy / Q000379:methods*; D005538:Football / Q000293:injuries*; D006801:Humans; D007869:Leg Injuries / Q000517:prevention & control* / Q000523:psychology; D008297:Male; D010809:Physical Fitness / Q000502:physiology; D016032:Randomized Controlled Trials as Topic / Q000379:methods*; D012107:Research Design; D055815:Young Adult